- Enrollment id
- O20100416000358
- Enrollment state
- NM
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1144551698
- Multiple npi flag
- N
- Ccn
- 327210
- Associate id
- 3971413329
- Organization name
- KINDSTAR, INC.
- Doing business as name
- ACCENTCARE HEALTH
- Incorporation date
- 2003-01-02
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1801 W 21ST ST
- City
- CLOVIS
- State
- NM
- Zip code
- 881014023